Anand@home Feedback Form(Campaign)
Thank you for choosing our Anand@home sample collection service. Your feedback is important for us to improve our services and ensure that we provide you the best in healthcare.
Is this your first experience with our Anand@home sample collection service?
How did you come to know of our current promotional campaign?
Please rate the following on a scale of 1 to 5
(1=very bad,2=bad,3=OK,4=good,5=very good)
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2
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5
Call Centre
Appointment process
Cleanliness & Professionalism of Anand@home Executive
Sample Collection Experience
Punctuality of Anand@home executive
Explanation of sample collection process
Explanation on billing and report time
Anand@home Home Care Kit
Overall Anand@home experience
Did the Anand@home executive open the Home Care Kit in front of you?
Did the Anand@home executive use gloves while collecting the sample?
Would you recommend Anand@home sample collection service to your friends and family?
Would you like to give us any other feedback or suggestions regarding Anand@home service?
Your answer
For Laboratory Use
R Number:
Your answer
Date:
MM
/
DD
/
YYYY
Anand@home executive:
Your answer
Location:
Your answer
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